Official scientific distribution organ of Instituto Panvascular de Occidente
Hepato-splenic Microabscesses in Inmunocompetent Patients
PDF Reporte de Caso (Spanish)

Keywords

Bartonella
Cat
Infection
Diagnosis
Treatment

Categories

How to Cite

1.
Hepato-splenic Microabscesses in Inmunocompetent Patients. Rev Med Clin [Internet]. 2024 Dec. 24 [cited 2025 Jan. 16];8(3):e24122408019. Available from: https://mail.medicinaclinica.org/index.php/rmc/article/view/586

Abstract

Cat scratch disease is a benign infection that classically leads to localized self-limited lymphadenopathy. However, there are disseminated forms that can occur in immunocompromised subjects and, rarely, in immunocompetent subjects. We present the case of a 23-year-old male with no history of interest, who presented with vespertine fever of 2 weeks duration and arthralgia of the right hip. Abdominal magnetic resonance imaging (MRI) showed small hepatic and splenic lesions compatible with microabscesses. Serological studies were carried out which, along with the clinical and radiological alterations, allowed to establish the diagnosis of disseminated Bartonella henselae infection.

PDF Reporte de Caso (Spanish)

References

Blanco JR, Raoult D. Enfermedades producidas por Bartonella spp. Área de Gestión en Enfermedades Infecciosas, Complejo San Millán San Pedro de La Rioja, Hospital de La Rioja, Logroño, España; Unité des Rickettsies, Université de la Méditerranée, Marseille, Francia. Enferm Infecc Microbiol Clin. 2005;23(5):313-20. DOI: 10.1157/13074971

García JC, Núñez MJ, Castro B, Fernández JM, Portillo A, Oteo JA. Hepatosplenic cat scratch disease in immunocompetent adults: report of 3 cases and review of the literature. Medicine (Baltimore). 2014 Oct;93(17):267-279. DOI: 10.1097/MD.0000000000000089.

Nawrocki CC, Max RJ, Marzec NS, Nelson CA. Atypical Manifestations of Cat-Scratch Disease, United States, 2005-2014. Emerg Infect Dis. 2020 Jul;26(7):1438-1446. DOI: 10.3201/eid2607.200034

Crocetti D, Palmieri A, Pedullà G, Pasta V, D'Orazi V, Grazi GL. Peliosis hepatis: Personal experience and literature review. World J Gastroenterol. 2015 Dec 14;21(46):13188-94. DOI: 10.3748/wjg.v21.i46.13188

Angelakis E, Raoult D. Pathogenicity and treatment of Bartonella infections. Int J Antimicrob Agents. 2014 Jul;44(1):16-25. DOI: 10.1016/j.ijantimicag.2014.04.006

Alattas NH, Patel SN, Richardson SE, Akseer N, Morris SK. Pediatric Bartonella henselae Infection: The Role of Serologic Diagnosis and a Proposed Clinical Approach for Suspected Acute Disease in the Immunocompetent Child. Pediatr Infect Dis J. 2020 Nov;39(11):984-989. DOI: 10.1097/INF.0000000000002852

Allizond V, Costa C, Sidoti F, Scutera S, Bianco G, Sparti R, Banche G, Dalmasso P, Cuffini AM, Cavallo R, Musso T. Serological and molecular detection of Bartonella henselae in specimens from patients with suspected cat scratch disease in Italy: A comparative study. PLoS One. 2019 Feb 8;14(2):e0211945. DOI: 10.1371/journal.pone.0211945

Mensa J, Soriano A, López-Suñé E, Llinares P, Barberán J, Poliakova Y. Guía de Terapéutica Antimicrobiana 2023. Capítulo 2. Editorial ANTARES. 33ª edición Abril 2023. ISBN 9788488825322.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2024 Ana Isabel Martínez-Martínez, José Carlos Escribano-Stable, María Alberola-Marco

Downloads

Download data is not yet available.